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Patellar tendon bearing orthosis — application as adjunctive treatment in healing of lower-limb tissue loss
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Khaira, H. S., Coddington, T., Drew, A., Roberts, P. N. and Imray, C. (Chris) (1998) Patellar tendon bearing orthosis — application as adjunctive treatment in healing of lower-limb tissue loss. European Journal of Vascular and Endovascular Surgery, Vol.16 (No.6). pp. 485-488. doi:10.1016/S1078-5884(98)80238-4 ISSN 1078-5884.
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Official URL: http://dx.doi.org/10.1016/S1078-5884(98)80238-4
Abstract
Objectives:
to assess the efficacy of the patellar tendon bearing orthosis (PTBO) as adjunctive treatment of patients with significant lower-limb ischaemia and tissue loss complicated by neuropathy.
Design, materials and methods:
twelve consecutive patients (14 legs) with a variety of underlying conditions causing extensive lower limb tissue loss are described. Seven patients were diabetic. Six patients (seven legs) underwent vascular reconstruction procedures.
Chief outcome measures:
wound healing and amputation rate.
Results:
eight patients had ulcer healing within 5 months, one at 18 months (patient with alcoholic neuropathy who was poorly compliant with treatment), one stopped using the PTBO at 3 months and was converted to protective footwear with healing, one died of a myocardial infarct 1 month after the PTBO was fitted (the ulcer was showing signs of healing), and one has just had surgery and been fitted with a PTBO.
Conclusions:
early results from this anecdotal series are encouraging and a prospective study to determine the application of the PTBO in patients with neuropathic and neuropathic/ischaemic tissue loss is planned.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | European Journal of Vascular and Endovascular Surgery | ||||
Publisher: | Elsevier Ltd | ||||
ISSN: | 1078-5884 | ||||
Official Date: | 1998 | ||||
Dates: |
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Volume: | Vol.16 | ||||
Number: | No.6 | ||||
Page Range: | pp. 485-488 | ||||
DOI: | 10.1016/S1078-5884(98)80238-4 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) |
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